Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.

anaesthesia education and training ergonomics human factors human performance non-technical skills patient safety simulation theatre team worker well-being

Journal

Anaesthesia
ISSN: 1365-2044
Titre abrégé: Anaesthesia
Pays: England
ID NLM: 0370524

Informations de publication

Date de publication:
04 2023
Historique:
accepted: 14 11 2022
pubmed: 12 1 2023
medline: 14 3 2023
entrez: 11 1 2023
Statut: ppublish

Résumé

Human factors is an evidence-based scientific discipline used in safety critical industries to improve safety and worker well-being. The implementation of human factors strategies in anaesthesia has the potential to reduce the reliance on exceptional personal and team performance to provide safe and high-quality patient care. To encourage the adoption of human factors science in anaesthesia, the Difficult Airway Society and the Association of Anaesthetists established a Working Party, including anaesthetists and operating theatre team members with human factors expertise and/or interest, plus a human factors scientist, an industrial psychologist and an experimental psychologist/implementation scientist. A three-stage Delphi process was used to formulate a set of 12 recommendations: these are described using a 'hierarchy of controls' model and classified into design, barriers, mitigations and education and training strategies. Although most anaesthetic knowledge of human factors concerns non-technical skills, such as teamwork and communication, human factors is a broad-based scientific discipline with many other additional aspects that are just as important. Indeed, the human factors strategies most likely to have the greatest impact are those related to the design of safe working environments, equipment and systems. While our recommendations are primarily provided for anaesthetists and the teams they work with, there are likely to be lessons for others working in healthcare beyond the speciality of anaesthesia.

Identifiants

pubmed: 36630725
doi: 10.1111/anae.15941
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

458-478

Subventions

Organisme : the National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) South London
Organisme : King's Health Partners
Organisme : Guy's and St Thomas' NHS Foundation Trust
Organisme : King's College Hospital NHS Foundation Trust
Organisme : King's College London
Organisme : South London and Maudsley NHS Foundation Trust
Organisme : Guy's and St Thomas' Foundation

Commentaires et corrections

Type : CommentIn
Type : CommentIn
Type : CommentIn

Informations de copyright

© 2023 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.

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Auteurs

F E Kelly (FE)

Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.

C Frerk (C)

Department of Anaesthesia and Critical Care, Northampton General Hospital, Northampton, UK.
University of Leicester, College of Life Sciences/Leicester Medical School, Leicester, UK.

C R Bailey (CR)

Department of Anaesthetics, Guy's and St Thomas' NHS Foundation Trust, London, UK.

T M Cook (TM)

Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Bristol University, Bristol, UK.

K Ferguson (K)

Department of Anaesthesia, Aberdeen Royal Infirmary, Aberdeen, UK.

R Flin (R)

Aberdeen Business School, Robert Gordon University, Aberdeen, UK.

K Fong (K)

Department of Anaesthesia, University College London Hospitals NHS Foundation Trust, London, UK.
Department of Science, Technology, Engineering and Public Policy, University College London, UK.

P Groom (P)

Department of Anaesthesia, Liverpool University Hospitals NHS Foundation Trust, Aintree, Liverpool, UK.

C John (C)

University College Hospital's NHS Foundation Trust, London, UK.

A R Lang (AR)

Human Factors Research Group, Faculty of Engineering, University of Nottingham, UK.

T Meek (T)

Department of Anaesthesia, James Cook University Hospital, Middlesbrough, UK.

K L Miller (KL)

Department of Paediatric Anaesthesia, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.

L Richmond (L)

Department of Anaesthesia, Swansea Bay University Health Board, Swansea, UK.

N Sevdalis (N)

Centre for Implementation Science, King's College London, UK.

M R Stacey (MR)

Department of Anaesthetics, Intensive Care and Pain Medicine, University Hospital of Wales, Cardiff, UK.

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